Division of Maxillofacial Surgery, Head and Neck Department, San Giovanni Battista Hospital, University of Turin, Turin, Italy.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Feb;113(2):207-13. doi: 10.1016/j.tripleo.2011.02.006. Epub 2011 May 4.
The aim of this study was to report our experience in treating patients affected by spreading odontogenic infections and to discuss their management and outcome.
Demographic and clinical information was collected from hospitalized patient records. Decayed, missing, and filled teeth (DMFT) index was calculated for 45 randomly selected patients. Statistical analysis was used to search for associations among multiple variables.
Statistical analysis of the variance by univariate test found significant associations between a longer hospital stay and patients >30 years old (P < .05) and patients with the presenting symptoms of dysphagia and/or dyspnea (P < .05). Statistical analysis using Fisher exact test found significant associations between patients with a DMFT index >10 and female patients (P < .05), patients >30 years old (P < .005), and a hospital stay >4 days (P < .0005).
Rapid resolution of the infection was appreciated when removal of the cause, drainage of the infection, and intravenous antibiotics were performed.
本研究旨在报告我们治疗扩散性牙源性感染患者的经验，并讨论其治疗和结局。
从住院患者记录中收集人口统计学和临床信息。对随机选择的 45 名患者计算了龋失补（DMFT）指数。使用统计分析来搜索多个变量之间的关联。
单变量检验的方差分析发现，住院时间较长与年龄>30 岁的患者（P<.05）和出现吞咽困难和/或呼吸困难症状的患者（P<.05）之间存在显著关联。使用 Fisher 确切检验的统计分析发现，DMFT 指数>10 的患者与女性患者（P<.05）、年龄>30 岁的患者（P<.005）和住院时间>4 天的患者（P<.0005）之间存在显著关联。
当去除病因、引流感染并使用静脉抗生素时，感染可迅速得到解决。
